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TANITA SULLIVAN
Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI: 1659671147Individual
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320600000X
Physical Disabilities Residential Treatment Facility
Residential Treatment Facility, Physical Disabilities
Code: 320700000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Substance Abuse Rehabilitation Facility
Substance Abuse Rehabilitation Facility
Code: 324500000X
Contact & Hours
- Address
- 13985 BROKEN ARROW DR
WILLIS, TX 77378 - Phone
- (936) 856-6136
Quick Facts
- NPI
- 1659671147
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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